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A discourse analysis of client and practitioner talk during motivational interviewing sessions. Volume 1 - Research Component and Volume 2 - Clinical Component

Lane, Claire Alice (2012)
Clin.Psy.D. thesis, University of Birmingham.

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Abstract

Despite many studies of language use in motivational interviewing, the vast majority have based this upon the quantitative coding of practitioner and client linguistic behaviours in order to relate these to client change outcomes. The current study aimed to investigate how clients and practitioners co-constructed the process of change using discourse analysis. Ten MI sessions for alcohol use were analysed in terms of how alcohol was verbally constructed, the functions and effects of rhetorical strategies employed and subject positions. Power and subjectivity were considered alongside these strands of analysis. The findings suggest that clients and therapists constructed alcohol as either a destroyer or facilitator, drawing upon discourses of differing degrees of power, which impacted upon the availability of client positions of agency and expertise in relation to alcohol. There was also a diversity of function within categories of client and practitioner speech. These findings have implications for clinical practice, in terms of moving beyond the recognition of ‘types of client talk’ and responding with an ‘MI consistent’ verbal behaviour, and moving towards reinvigorating the spirit of MI in relation to clinical outcome.

Type of Work:Clin.Psy.D. thesis.
Supervisor(s):Copello, Alex and Rolfe, Alison
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:Department of Clinical Psychology, School of Psychology
Subjects:BF Psychology
HV Social pathology. Social and public welfare
Institution:University of Birmingham
ID Code:3708
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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